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Sunday, August 9, 2015

No Leg, No Colon, No Problem

The year was 2010, and I seemed primed for a
takeover of the limb-deficient sector of the Paralympic swimming world. Fresh
off an American record in the 100-yard freestyle and a first place finish in
the 50-meter freestyle at Spring Nationals, I figured to be sitting pretty
leading up to the 2012 Paralympics. If I just continued to improve at the same
rate, surely I’d be close to the top of the world rankings heading into the Games.

Then disaster struck. I’d been having digestive
problems throughout the collegiate swim season, but I’d been so focused on my
athletic and scholastic endeavors that I avoided dealing with them as much as
possible. Finally, the situation became acute. With my dorm room bed frame actually
stained pink from Pepto Bismol, I couldn’t avoid it any longer.

I was diagnosed with ulcerative colitis, an
autoimmune disease that causes inflammation of the large intestine and results
in frequent, painful trips to the bathroom along with rapid weight loss and
other serious complications. My doctors urged me to take time off from swimming
in order to regain my health.

My college teammates and I during our final winter training trip to Puerto Rico.

We sure were a fierce-looking bunch.

Knowing that just one day out of the water would
mean three to get back to where I'd been, I decided to ignore doctor’s orders.
I continued training hard, often multiple sessions per day, but I would never
come upon the success that I seemed destined for back in 2010.

Over the following two years leading up to
Paralympic Time Trials, I continued to fight, both in and out of the pool. But
the disease was ravaging me. At my worst, I was twenty pounds underweight and in the bathroom up to eighteen times a day. Flare-ups always seemed to strike at the most critical
times, too, like just a few days before the 2011 Spring Nationals swim meet, for
instance. My body had betrayed me.

I finally hung up my Speedo, goggles, and swim
cap after Time Trials in 2012, having finished disappointingly out of
contention for the U.S. team. I prayed that the reduction in physical and
psychological stress would have a positive effect on my health. For a while, it
did -- so much so that I opted to go off my medications (once again against
doctor’s orders) just to see what would happen.

I was okay for a few months, but then the
disease began to progress, and my quality of life deteriorated in kind. I was barely able to leave the house for fear of not making it to a bathroom.So I
went back on the meds. I tried holistic remedies. I tried hypnosis. I even
followed a strict Paleo diet. Each of these treatments seemed to help at first,
but the effects always diminished with time.

Finally, after five years of battling the
disease, this past spring I was left with no choice but surgery: a “restorative
proctocolectomy,” or the removal of my large intestine and rectum. It was by
far the hardest decision I have ever made. Once your colon is gone, you can’t
get it back. But according to my doctor, on a ten-point scale of severity, I
was an eleven -- at grave risk for colon cancer or a life-threatening bowel
perforation.

The surgery went great, the surgeon reported.
But that was about where the warm and fuzzies ended. Day two post-op was when
things began to take a turn for the worse. As if I hadn’t already been down
enough on my luck, I fell victim to just about every post-surgical complication
that they don’t bother warning you about beforehand, just shy of requiring TPN
(total parenteral nutrition):

An ileus, which is when digestion halts and a nasogastric tube is required. Those were two of the most uncomfortable days of my
life.

Oral thrush, which was a wicked sore throat that had me gargling a
viscous liquid they called “magic mouthwash” every few hours.

Severe constipation, which was pretty ironic considering I’d had the exact opposite problem every day for the previous
five years. For a week thereafter, all I could eat was pureed food (i.e. baby
food), which was actually surprisingly tasty compared to ice chips.

Chest pain and shortness of
breath, which turned out to be a pneuomomediastinum, or air bubble in my
esophagus, the cause of which was never quite determined.

Crippling back pain, which was actually a byproduct of malnutrition and severe
dehydration.

Gerber: babies (and Fitness Pollenators) are their business.

After a
total of three weeks, three hospitalizations, and twenty pounds of weight loss, I finally got onto the right side of what was proving a painstakingly
slow road to recovery. In the subsequent weeks, I gradually started needing only
one crutch to walk instead of two, then no crutches at all. I gained five
pounds, then ten. After being extremely restricted with my diet both pre- and post-op, I started to be able to eat normal food again, like soft pretzels. Lots and lots of soft pretzels.

I gave myself a limit of three soft pretzels per day. Or sometimes four.

I began to be able to leave the house on my own to go
for pretzels, then grocery shopping, then to my girlfriend’s house for the
weekend. Finally, I was able to return to school (to finish up my biomechanics master’s degree) and to resume my pride and joy: strength training.

I truly believe that what kept me going through my sickness all those years was exercise. Despite acute illness, I
actually managed to make decent progress, too. In fact, just the week before
surgery I achieved a longtime goal of a double-bodyweight pull-up. I also
filmed a short “Feats of Strength” video highlighting many of the skills I’d
mastered since transitioning from the pool to the power rack.

Feats of Strength

Watch the Video – 1:31

Following surgery, I was pretty down about all the strength I was losing. After being confined to a hospital bed for three weeks, I was barred from
lifting anything heavier than a milk carton for another five weeks after that. Those two months of mandated inactivity felt like an
eternity to me. But I tried to look on the bright side. I figured it would be a
positive experience for me as a personal trainer to understand what others go
through when they resume physical activity after a long layoff.

To my great surprise, however, I reacquired muscle almost instantaneously
upon resuming training. Even the last bit of abdominal pain I was still having around
the site of the surgical incision subsided once I was finally allowed to start exercising again. Having been so frail, I couldn’t believe my eyes that the
lean mass was packing itself back on so quickly.

The hardest part for me turned out to be slowing myself down from doing too much!

What do 20 pounds of cold hard muscle look like? A lot like this.

I credit my longtime consistency as the driving force behind the rapid
improvement. In fact, this was perhaps my biggest takeaway from the whole
experience. It turns out that this phenomenon has some scientific validity
to it, too. According to the so-called "myonuclear domain theory," muscle that was
previously hypertrophied will hypertrophy far more easily following periods of
inactivity. Basically, if you were muscular before, it’s easy to get muscular again -- and
quickly.

Sure, the initial gains were mostly “show” (size) and not “go”
(strength), but in the following weeks, I also reclaimed the ability to perform
bodyweight movements like dips, pull-ups, burpees, and even handstand push-ups. Granted,
I’m still not busting out twenty-rep sets of each of these movements like I used to, but
then again, most people aren’t. Just the other day I did my first sit-up, which was remarkable considering how weak my abs were after being sliced open and
stitched back together.

Back in Action

Watch the Video – :26

Free from disease, I’m better today than I’ve been in years. Gone is the
stress of being sick and the toxicity of the medications. I’m eating better, sleeping
better, and working better. Sure, I still wish I could have gotten the disease
under control without having to go the surgical route. But in the end, what were a
few months out of my life now in order to improve my quality of life for decades
to come? Plus, since I don’t have a colon anymore, I’ll never have another
colonoscopy again!

And who knows? Maybe I’ll even try for the 2020 Paralympic Games. Then again, maybe not, as that
would likely require me to cut back on my soft pretzel intake. Hey, even us
health conscientious personal trainers have our guilty pleasures.Now that I’m no longer
sick, I can finally enjoy mine.